| NPI | 1679705156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 12382) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178006244) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2014-04-13 |